Jefferson County Public Schools Compliance Hotline

Please complete all pages/screens of the Report Form. Required information fields are marked. No information will be transmitted until you select the “Submit” button on the final screen. You will be provided a confirmation number and access code for your report after it is submitted. We encourage you to save this information as investigators may request additional information in order to look into your concerns. You will need your confirmation number and access code to see these questions and/or add information to your report.

Does this incident involve a student or employee within the Jefferson County Public Schools?

Yes No

Select the location of the incident.

Select location or type to search then select

The purpose of this reporting solution is to document and adjudicate ethical concerns about or involving Jefferson County Public Schools employees and/or departments. Please contact the appropriate entity to obtain assistance.

Which case type best describes the issue?

Accounting/Audit Irregularities ?

ADA Accommodations ?

Bullying or Harassment ?

Conflicts of Interest ?

Crimes and Threats ?

Cybersecurity Concern ?

Discrimination ?

Falsification of Records ?

Racial Intolerance (details) ?

Sexual Harassment (details) ?

Theft of Cash, Goods, or Services ?

Vandalism ?

Violation of Policy ?

You may choose to remain anonymous. Please return to the hotline reporting system with your Case ID and Access Code to follow-up on your report or respond to questions from the administrator assigned to the case.

Would you like to remain anonymous?

No, I would like to provide contact information. Yes, I choose to remain anonymous.

You may not remain anonymous for this incident type. We require contact information so that administrators may obtain additional information from you. Your contact information will only be shared with the administrator assigned to the case.

Name (required)

Phone Number (phone or email required)

Email (phone or email required)

For reporting purposes, please tell us your relationship to the Example Administrative Entity.

Describe other relationship

If the reported incident involves employee-related disputes or peer conflict, please notify your direct supervisor before proceeding with this hotline reporting system. If your supervisor has not resolved the issue or the incident involves your supervisor, proceed to the next step.

How did you hear about the website?

Please specify how you heard

This tab is not applicable to Cybersecurity incident reports. Please click Next to continue.

Please provide information about the subject of this report (i.e., person being harmed or program/object impacted)

Who or what is being impacted?

Explain other relationship or type (i.e., building or program)

Do you know the person's name? If there is no person being impacted, select “Yes” and enter the name of the building, program or object being impacted.

Yes No

Name of the Individual, Program, Object, or Building

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

I have information about another party impacted.

Who or what is being impacted?

Explain other relationship or type (i.e., building or program)

Do you know the person's name? If there is no person being impacted, select “Yes” and enter the name of the building, program or object being impacted.

Yes No

Name of the Individual, Program, Object, or Building

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

I have information about a third party impacted.

Who or what is being impacted?

Explain other relationship or type (i.e., building or program)

Do you know the person's name? If there is no person being impacted, select “Yes” and enter the name of the building, program or object being impacted.

Yes No

Name of the Individual, Program, Object, or Building

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

If you have information on additional impacted parties, please provide it in the incident description.

This tab is not applicable to Cybersecurity incident reports. Please click Next to continue.

Please provide information on the person(s) causing harm.

Is the person a student or employee of the school district?

Explain other relationship

Do you know the person's name?

Yes No

Individual's Name

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

I have information about another responsible individual.

Is the person a student or employee of the school district?

Explain other relationship

Do you know the person's name?

Yes No

Individual's Name

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

I have information about a third responsible individual.

Is the person a student or employee of the school district?

Explain other relationship

Do you know the person's name?

Yes No

Individual's Name

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

If you have information on additional responsible people, please provide it in the incident description.

Have you notified an adult or staff member of this incident?

Have you notified JCPS Technology Support Services/IT Department?

Yes No

Name (Title/Role required if blank)

Title/Role

When Notified (date or explanation)

Action Taken

I notified someone else.

Name (Title/Role required if blank)

Title/Role

When Notified (date or explanation)

Action Taken

I notified a third person.

Name (Title/Role required if blank)

Title/Role

When Notified (date or explanation)

Action Taken

Have you reported this incident to law enforcement or a regulatory agency?

Yes No

Name of Agency (required)

Agency Report Number (if available)

Date Reported

Is anyone else involved or aware of the incident?

I have information about someone else who was involved.

How was this individual involved?

Is the person a student or employee of the school district?

Explain other relationship

Do you know the person's name?

Yes No

Individual's Name

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

I have information about another involved individual.

How was this individual involved?

Is the person a student or employee of the school district?

Explain other relationship

Do you know the person's name?

Yes No

Individual's Name

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

I have information about a third involved individual.

How was this individual involved?

Is the person a student or employee of the school district?

Explain other relationship

Do you know the person's name?

Yes No

Individual's Name

Title or role (if known)

Student's age or grade

Is the individual disabled?

Yes No Unknown/Not Applicable

Disability

Gender

Ethnicity

Describe other ethnicity

Physical Description

Has this incident already taken place?

Yes No

Date or describe when

Timeframe

Is it expected to occur within the next 24 hours?

Specific incident location

Tell what happened and give any details that may help the investigation.

Has there been an effort to cover up the alleged misconduct?

Yes No

How did you become aware of this incident?

Specify how you became aware

What is the estimated monetary value?

Estimated Value

Which type of bullying are your reporting? (select all that apply)

Physical (shoving, kicking, fighting, etc.)

Verbal (threatening, name-calling, teasing, etc.)

Social/Relational (spreading rumors, getting left out, etc.)

Harassment online including social media, texting, etc.

Do you believe that the bullying is based on any of the following? (select all that apply)

Sexual orientation or gender identity

Disability

National origin

Race or color

Physical appearance

Other

Describe reason for bullying

How often does the bullying happen?

Over about what period of time has the bullying been taking place?

Do you believe that this will continue to happen?

Yes No

Which acts of racial intolerance are you reporting? (select all that apply)

Verbal harassment (threatening, teasing, etc.)

Verbal slur (offensive name calling)

Physical (shoving, kicking, fighting, unwanted/inappropriate contact, etc.)

Online harassment or threat (email, social media, etc.)

Phone/text harassment or threat

Damage to property

Written slur (grafitti)

Other

Specify other intolerance type

How often does the racial intolerance act occur?

What period of time has the racial intolerance act been taking place

Do you believe that this will continue to happen?

Yes No

What is the estimated impact or monetary value of the falsification of records? (Example: If test scores were falsified, please disclose the number of students impacted. If grant applications or funding resources were falsified, please disclose the amount.)

What potential cybersecurity incident occurred?

Potential unauthorized or accidental disclosure of sensitive information ?

Computer or network misuse ?

Unauthorized access to or use of systems, software or data ?

Loss or theft of equipment storing JCPS data ?

Unauthorized modification of classified or sensitive information ?

Compromise of user account ?

Other ?

Give details

Have you done anything to mitigate/resolve the issue?

Yes No

What action did you take?

Your report will not be transmitted until you click the Submit button below!

Thank you for reporting this incident. You can review your information by clicking on the tabs. When you are satisfied, select Submit. You will then be assigned a case ID and access code, which will allow you to return to this site to add updates to the incident. You will also have the opportunity to upload files with supporting information.

If you select Cancel, no information will be saved or transmitted.

Verify you are a real person:

Thank you! Your information has been recorded, and assigned case ID xx-xx-xxx. If you left contact information, we will be in touch to update you on the status of your report.

Enter Your Report

This information will allow us to investigate the incident.

Does this incident involve a student or employee within the Jefferson County Public Schools?

Select the location of the incident.

Which case type best describes the issue?

You may choose to remain anonymous. Please return to the hotline reporting system with your Case ID and Access Code to follow-up on your report or respond to questions from the administrator assigned to the case.

You may not remain anonymous for this incident type. We require contact information so that administrators may obtain additional information from you. Your contact information will only be shared with the administrator assigned to the case.

This tab is not applicable to Cybersecurity incident reports. Please click Next to continue.

Please provide information about the subject of this report (i.e., person being harmed or program/object impacted)

If you have information on additional impacted parties, please provide it in the incident description.

This tab is not applicable to Cybersecurity incident reports. Please click Next to continue.

Please provide information on the person(s) causing harm.

If you have information on additional responsible people, please provide it in the incident description.

Have you notified an adult or staff member of this incident?

Have you notified JCPS Technology Support Services/IT Department?

Have you reported this incident to law enforcement or a regulatory agency?

Is anyone else involved or aware of the incident?

Has this incident already taken place?

Has there been an effort to cover up the alleged misconduct?

How did you become aware of this incident?

What is the estimated monetary value?

Which type of bullying are your reporting? (select all that apply)

Do you believe that the bullying is based on any of the following? (select all that apply)

How often does the bullying happen?

Over about what period of time has the bullying been taking place?

Do you believe that this will continue to happen?

Which acts of racial intolerance are you reporting? (select all that apply)

How often does the racial intolerance act occur?

What period of time has the racial intolerance act been taking place

Do you believe that this will continue to happen?

What is the estimated impact or monetary value of the falsification of records? (Example: If test scores were falsified, please disclose the number of students impacted. If grant applications or funding resources were falsified, please disclose the amount.)

What potential cybersecurity incident occurred?

Have you done anything to mitigate/resolve the issue?

Verify you are a real person: